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See a sample rate comparisonCPT 27485 Fee Schedule
Medicare rates as of October 2026
CPT 27485 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Arrest Hemiepiphyseal Distal Femur Or Proxim Tibia Or Fibula, Arrest Hemiepiphyseal Distal Femur Or Proximal Tibia Or Fibula (Eg
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 21Inpatient Hospital |
| Common Modifiers | 50Bilateral Procedure LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $633.28 national non-facility rate (2026)View Medicare rates for 27485 |
| Medicaid Fee Schedule | $504.72 median of the 8 states in the free previewView Medicaid rates for 27485 |
National average reimbursement for CPT 27485 by major payers:
$909.33
BCBS / Anthem
$907.42
UnitedHealthcare
$953.79
Aetna
$1,106.82
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 27485.
CPT 27485
5 of 25 sample ratesHigher to lower in this preview
Iu Health Arnett Hospital, Inc, Arnett Surgery Center, LLC
Indiana University Health Arnett Inc
$7,264.00Published rateUnited Medical Park Asc LLC
$3,203.00Published rateBaptist Health Surgery Center LLC
Baptist Health Surgery Center, L
$2,096.00Published rateMedical And Dental Center Of Nevada LLC
$1,229.00Published rateMelbourne Asc Lp, The Surgery Center Of Melbourne
Melbourne Asc Lp
$410.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27485 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27485. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27457-CPT | Knee/Leg Surgery, Osteotomy Proximal Tibia Including Fibular Excision Or Osteotomy (Includes Correction Of Genu Varus (Bowleg) Or Genu Valgus (Knock-Knee)) Unilateral; After Epiphyseal Closure |
| 27479-CPT | Arrest Epiphyseal Any Method, Arrest Epiphyseal Any Method (Eg Epiphydiodesis)Combined Distal Femur Proximal Tibia And Fibulaarrest Epiphyseal Any Method (Eg Epiphydiodes Is) |
| 27485-CPT | Arrest Hemiepiphyseal Distal Femur Or Proxim Tibia Or Fibula, Arrest Hemiepiphyseal Distal Femur Or Proximal Tibia Or Fibula (Eg |
| 27503-CPT | Treatment Of Thigh Fracture, Closed Treatment Of Supracondylar Or Transcondylar Femoral Fracture With Or Without Intercondylar Extension With Manipulation With Or Without Skin Or Skeletal Traction |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27485. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27485 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
What APC is CPT 27485 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27485 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27485 in an ambulatory surgery center?
CMS lists CPT 27485 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27485?
Hospital price transparency files list CPT 27485 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.